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Individual

THOMAS V SCHALCOSKY

Active
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Individual

THOMAS V SCHALCOSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102049850
VA
207Q00000X
Family Medicine Physician
Primary
34010077
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005625718
—
VA
01
—
080188665
MEDICARE RAILROAD PROVIDER NUMBER
—
01
—
434853
ANTHEM
—
Enumeration date
11/30/2005
Last updated
02/17/2017
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